The advantage and disadvantage of gps managing meds is that they keep it simple. They don't chop and change meds when they're working but they can't prescribe off label if you need something unusual or different. It depends on the patient and their needs whether a gp or a pdoc is the best option for prescribing and monitoring meds. Actually my gp is a far better T than any T I've ever had so on that score I'd rather let my gp manage my depression but I do need my meds sorting too and I'm out of options on that one